With the music of rapper Jay-Z blaring in the background, Marwan Khalifeh, a Washington-area cosmetic surgeon, vigorously plunged a strawlike metal probe back and forth through the breasts of a patient lying on an operating table, as if he were playing a cello.

The goal was to reduce the size of his patient’s breasts, an increasingly common procedure for women who decide to change their lifestyle or address a medical condition. And Khalifeh’s surgical room on the 17th floor of a medical arts building in Friendship Heights is arrayed with state-of-the-art equipment, including a laser machine called the Smartlipo MPX that emulsifies unwanted fat.
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